Registration | Oberlin Fire Department

Lorain County Fire Chiefs Association, Inc.
Fire Training Academy – Charter 351
Registration Form

Name*
First Middle Last
Certification Number
Confirm Certification Number
SSN (For State Certification only. If this is for initial state certification, your full social security number is required. If you have a state certification (FF or EMT) only provide the last 4 digits of your SS#*
Supply last four digits if certification number is available
Confirm SSN SSN (For State Certification only. If this is for initial state certification, your full social security number is required. If you have a state certification (FF or EMT) only provide the last 4 digits of your SS#*
Date of Birth*
Date Format: MM slash DD slash YYYY
Confirm Date of Birth*
Date Format: MM slash DD slash YYYY
BLUE CARD (Select initial certification, renew certification or refresher)*
Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Email*
Course Applying For*
Each Department is limited to two participants until July 1, 2023. On July1, if there are any available seats, they will be filled on a first come, first served basis. Class Overview Operations: This course is designed to provide students with a complete understanding of HEV Vehicle Response and Hazard Management. Attendees will receive an academic presentation with question-and-answer periods built into every learning module. Attendees will also receive practical skills labs to interact with hybrid and electric vehicles. This course includes: • Vehicle Identification • HEV Electrical System Identification & Management • Hazardous Condition: o Cosiderations o Identification o Management o Environmental • ESA TOTAL PROTECTION Resourcing • Standards and Compliance PRACTICAL SKILLS • Risk Assessment • Fire Suppression • Extrication • Initial shutdown procedures • Vehicle Stabilization & Access • Secondary Shut Down Procedures • Vehicle loading and towing
Sponsoring department or agency*
Bill course fees to:*
*
- Acknowledgement
By submitting this application, I attest that the above information is true and correct to the best of my knowledge, and that I meet the pre-requisites for this training course. I hereby give permission to the Chartered Training Program to verify any of the above information and I will provide copies of all certifications at the time of application. I understand that I will be required to sign my application upon acceptance to this course. Upon receipt of a confirmation for this course, I also understand that I will be responsible to attend all sessions unless I notify the program in writing of my intent to withdraw no later than 48 hours prior to the first class date.
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Lorain County Fire Chiefs Association, Inc.
Fire Training Academy – Charter 351
Registration Form

CONTACT INFO

430 South Main Street
Oberlin, Ohio 44074

info@oberlinfire.com

Ph: 440-774-3211
Fx: 440-774-7809

Lorain County Fire Chiefs Association, Inc. Fire Training Academy – Charter 351 Registration Form

CONTACT INFO

430 South Main Street Oberlin, Ohio 44074

info@oberlinfire.com

Ph: 440-774-3211 Fx: 440-774-7809

Lorain County Fire Chiefs Association, Inc.
Fire Training Academy – Charter 351
Registration Form

430 South Main Street
Oberlin, Ohio 44074

Ph: 440-774-3211
Fx: 440-774-7809